Insurance

Insurance Claim Authorization

Use this form to authorize Peridot Assist Construction & Design to act as your general contractor on an insurance claim and to communicate with your insurance carrier on your behalf.

This online form replaces our paper insurance authorization agreement. It contains two authorizations:

  1. General Contractor Authorization — authorizes Peridot Assist to assess damage, coordinate trades, and perform the insurance-approved scope of work.
  2. Insurance Authorization & Direction of Payment — authorizes us to communicate with your insurance and mortgage companies and to receive payment directly.

Please read each authorization carefully before signing. By submitting this form you are entering a binding agreement with Peridot Assist, LLC.

1. Your information

2. Insurance information

3. General Contractor Authorization

4. Insurance Authorization & Direction of Payment

5. Communications consent

6. Signature

A signed copy will be emailed to you for your records. For questions, call (770) 284-5353.